NPI 1033978812

Kyle Blom, LMT

Practitioner Massage Therapist Lakeville, MN

Practice location

Address: 7644 160th St W, Lakeville, MN 55044-4442
Phone: (952) 985-5444

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2024 (MN)

Other Massage Therapist providers in Minnesota →

Registry record

NPI: 1033978812
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2024
Record last updated: 15 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.